Highlights of the 2010 American Heart Association

Guidelines for CPR & ECC

Summary of Key BLS Components for Adults, Children, and Infants* Recommendations Component Adults Children
Unresponsive (for all ages) Recognition No breathing or no normal breathing (ie, only gasping) No breathing or only gasping

Infants

No pulse palpated within 10 seconds for all ages (HCP only) CPR sequence Compression rate Compression depth At least 2 inches (5 cm) C-A-B At least 100/min At least AP diameter About 2 inches (5 cm) Allow complete recoil between compressions HCPs rotate compressors every 2 minutes Minimize interruptions in chest compressions Attempt to limit interrruptions to <10 seconds Head tiltchin lift (HCP suspected trauma: jaw thrust) 30:2 Single rescuer 15:2 2 HCP rescuers Compressions only 1 breath every 6-8 seconds (8-10 breaths/min) Ventilations with advanced airway (HCP) Asynchronous with chest compressions About 1 second per breath Visible chest rise Attach and use AED as soon as available. Minimize interruptions in chest compressions before and after shock; resume CPR beginning with compressions immediately after each shock. At least AP diameter About 1 inches (4 cm)

Chest wall recoil

Compression interruptions Airway Compression-to-ventilation ratio (until advanced airway placed) Ventilations: when rescuer untrained or trained and not proficient

30:2 1 or 2 rescuers

Defibrillation

Abbreviations: AED, automated external defibrillator; AP, anterior-posterior; CPR, cardiopulmonary resuscitation; HCP, healthcare provider. *Excluding the newly born, in whom the etiology of an arrest is nearly always asphyxial.

Reprinted from Highlights of the 2010 AHA Guidelines for CPR & ECC; http://static.heart.org/eccguidelines/guidelines-highlights.html; copyright 2010.

www.heart.org/cpr
2010 American Heart Association DS4309 11/10